A neonate is 40 weeks gestation and nursing well but has onset of jaundice at 36 hours.
Total serum bilirubin is 12 mg/dL At this time, treatment should include

• A.continued observation and jaundice assessment
• B.phototherapy
• C.exchange transfusion

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A neonate at 37 weeks gestation is born to a mother who has abused cocaine throughout pregnancy. The neonate exhibits persistent hypertonia, startles easily, and shows signs of distress at any disturbance. The most appropriate treatment is

• A.anticonvulsant
• B.sedative
• C.swaddling and reduction in external stimuli

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A premature infant in the NICU has a G-tube and the NP is starting his scheduled feeding.
The formula is backing up in the tube and not flowing smoothly. The next intervention would be to

• A.flush with an air bolus then aspirate to confirm placement
• B.flush the tube with 20 cc of a carbonated soft drink
• C.flush the tube with 5-10 ccwarm water and try aspirating and flushing if there is resistance

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During the initial physical examination, the neonate's chest circumference is 34 cm. The expected head circumference is

• A.32 cm
• B.34 cm
• C.36 cm

Correct Answer: C

The head circumference is usually about 2 cm greater than the chest circumference, so the head circumference should be about 36 cm. Normal characteristics of a newborn include the following:

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How many calories does a preterm infant require per day?

• A.50-100 kcal/kg/day
• B.100-150 kcal/kg/day
• C.150-200 kcal/kg/day

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